主要资料来源
简明答案
简明答案：这类 WPI 评估通常怎样看
皮肤、疤痕和烧伤 的永久伤残评估不应只看诊断名称或影像结论。重点是 accepted injury、身体系统、maximum medical improvement (MMI)、NSW 指南方法、检查所见、治疗和手术记录、以及任何既往伤害或退变扣减是否有证据支持。
简明答案
已接受的伤害
评估必须从保险公司已接受或正在争议的伤害范围开始。伤害描述过窄，可能影响评估方法和证据。
简明答案
医学评估方法
评估医生需要按照 NSW Guidelines 和相关 AMA5 章节处理 MMI、检查结果、既往扣减和身体系统。
简明答案
索赔影响
WPI 百分比可能影响 Section 66、medical expenses、weekly payments 和 work injury damages 策略，不能只看数字。
评估路径通常怎样建立
皮肤、疤痕和烧伤 的 WPI 报告应说明推理过程，而不只是给出百分比。以下是依赖该百分比前通常需要核对的路径。
Identify the 皮肤 condition: burn scar, traumatic scar, surgical scar, dermatitis, chemical 伤害, infeCTion, recurrent 皮肤 condition or facial disfigurement.
Check whether the condition is stable. Scar maturation, further 手术, grafting, desensitisation, compression therapy or dermatitis 治疗 may change the assessment timing.
Assess funCTion and symptoms, not only appearance. Sensitivity, breakdown, itching, infeCTion, movement restriCTion and 治疗 burden can matter.
Consider whether the NSW TEMSKI method for minor 皮肤 impairment is relevant or whether AMA5 Chapter 8 with NSW modifications applies more broadly.
Review whether facial disfigurement, non-facial scarring and ordinary uncomplicated surgical scars are being treated under the right rule.
NSW 指南和 AMA5 方法要点
皮肤 永久伤残评估 uses AMA5 Chapter 8 with NSW modifications, including NSW guidance for minor 皮肤 impairment.
Non-facial scarring is generally assessed as one 皮肤 impairment rather than separate ratings for every scar.
Facial disfigurement has specific considerations. Standard uncomplicated surgical scars may rate at 0% WPI.
The 报告 should consider symptoms, ADL limitation, 治疗 requirements, sensitivity, movement restriCTion, infeCTion and recurrence where relevant.
The TEMSKI method may be relevant to minor 皮肤 impairment and should be used only where appropriate.
For burns, the assessment should adDREss funCTion, sensitivity, grafting, contraCTion, joint restriCTion and ongoing 治疗 rather than use graphic appearance alone.
For dermatitis or chemical exposure, the 报告 should consider recurrence, PPE tolerance, irritant avoidance and whether the condition is stable enough for assessment.
Photographs may help, but the 报告 still needs clinical reasoning and a guideline method.
哪些因素可能改变 WPI 百分比
最终百分比可能受评估方法、客观检查、手术结果、既往扣减以及多重伤残合并方式影响。
- Extent, location, symptoms and funCTional effeCT of scarring or 皮肤 disease.
- Photographs, clinical description and whether the condition is stable or fluCTuating.
- 治疗 requirements such as DREssings, compression, medication, grafting, desensitisation or recurrence management.
- ImpaCT on aCTivities of daily living, PPE tolerance, hygiene, exposure and safe return to duties.
- Whether scars are ordinary surgical scars, traumatic scars, burn scars, facial disfigurement or dermatitis from ongoing exposure.
评估医生通常会核对什么
- 已接受的伤害 wording: burn, scar, dermatitis, chemical exposure or 皮肤 condition
- 治疗 course, grafts, DREssings, infeCTion and 专科医生 follow-up
- funCTional restriCTions from sensitivity, grip, movement, heat, PPE tolerance or exposure risk
- whether the 皮肤 condition has stabilised or still fluCTuates with work exposure
- whether photographs and clinical descriptions are reliable and current
可能有帮助的证据
- hospital, GP, burns unit, dermatology or plastic 手术 records
- photographs taken for clinical purposes and 治疗 chronology
- PPE, chemical, safety data sheet and incident material where exposure is involved
- certificates of capacity covering contaCT, heat, hygiene, PPE, grip or movement restriCTions
- records of recurrence, infeCTion, flare-ups or failed return-to-work attempts
保险公司或评估报告常见争议
- the 保险公司 says the condition is cosmetic only
- a dermatitis flare is treated as temporary despite recurring work exposure
- photos are relied on without funCTional 证据
- chemical exposure is denied because workplace records are incomplete
- the 报告 does not adDREss sensitivity, movement or PPE tolerance
收到评估报告后要核对什么
复核 WPI 报告时要问的问题
报告中的风险信号
- The 报告 rates each non-facial scar separately without explaining why that is allowed.
- An uncomplicated surgical scar is treated as significant impairment without symptoms or funCTional effeCT.
- Dermatitis is assessed on a good-皮肤 day without adDREssing recurrence and workplace exposure.
- Burn scarring is described cosmetically but movement restriCTion, sensitivity and 治疗 burden are ignored.
方法和依赖前核对
- Is the 皮肤 condition stable enough for assessment?
- Were 专科医生 and 治疗 records complete?
- Does the 报告 adDREss funCTion, not appearance alone?
- Is work exposure properly documented?
- Are recurrence and PPE tolerance considered?
- Visible scarring does not automatically equal a high WPI percentage.
- Cosmetic impaCT, sensitivity and funCTional limitation need careful clinical description.
- FluCTuating dermatitis may need stability and recurrence 证据 before permanent assessment.
这如何影响 Section 66、周薪和 work injury damages
SIRA 资料说明，身体伤害的永久伤残赔偿通常需要达到 11% 或以上 permanent impairment；primary psychological injury 通常需要达到 15% 或以上。secondary psychological injury 在 NSW 中有不同处理。
这些门槛不是赔偿承诺。实际影响要看 accepted injury、医学证据、MMI、评估方法和保险公司如何使用该百分比。WPI 可能影响 Section 66 lump sum compensation、medical expenses 时间限制、weekly payments 策略，以及是否需要 work injury damages 门槛建议。
Guideline notes
- NSW 皮肤 assessment modifies AMA5 Chapter 8.
- The NSW TEMSKI method is used for minor 皮肤 impairment in appropriate cases.
常见问题
皮肤、疤痕和烧伤 的 WPI 可以自己计算吗？
不应自行套用 AMA5 或网上表格。WPI 应由受训评估医生按 NSW 指南、accepted injury、检查结果和病历资料评估。你可以复核报告是否使用了正确方法和资料。
皮肤、疤痕和烧伤 评估为什么要等 MMI？
MMI 代表伤情已经稳定到适合评估永久影响的程度。如果治疗、手术或康复仍可能明显改变情况，过早评估可能不可靠。
如果保险公司报告偏低怎么办？
先索取报告和发给评估医生的资料。核对 accepted injury、身体系统、影像、手术、治疗、工作限制和任何扣减理由，再决定是否需要争议或进一步证据。
皮肤、疤痕和烧伤 会影响 work injury damages 吗？
可能会。WPI 可能影响门槛和策略，但 work injury damages 还需要单独考虑 negligence、past economic loss、future economic loss 和证据一致性。不能只用百分比判断整个案件。
一般资料
本页仅提供一般信息，不构成法律意见。你应就自己的情况取得法律建议，再依赖 WPI 百分比、接受一次性赔偿或回应保险公司决定。
Reviewed by NSW Work Injury Claims - a branch of Stephen Young Lawyers.
相关伤害和评残页面
需要复核 WPI 评估吗？
如果百分比与 accepted injury、治疗史、影像、手术、岗位要求或现有限制不一致，在接受保险公司立场前应先复核报告。